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Jabulani Mavudze - MSH, South Africa


Strengthening the monitoring and evaluation capacity of civil society organization to improve the reach and quality of OVC care and support services: Experiences from Lesotho

Strengthening the monitoring and evaluation capacity of civil society organization to improve the reach and quality of OVC care and support services: Experiences from Lesotho

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  • 1. Stronger health systems. Greater health impact.Strengthening M&E capacity of civil society organizations to improve the reach and quality Sciences for Healthcare and support Management of OVC services: Experiences from LesothoJabulani Mavudze, Megh Jagriti, Roselyn Kareithi, and Mathabo PuleMarch 2013MSH Building Local Capacity Project 1
  • 2. Background Information• Building Local Capacity for the Delivery of HIV Services in Southern Africa Project (BLC)• MSH project funded by USAID is working in six countries• In Lesotho, BLC gives small USAID funded grants to 12Management Sciences for Health CSOs to: • improve the coordination and delivery of the OVC 6 + 1 services • reach 25,5% OVC ( 46,585 OVC) and 15,972 caregivers by 2015MSH Building Local Capacity Project 2
  • 3. Problem Statement• Based on literature review and capacity assessment, OVC Total programming challenges: population 2,000,000  National CSOs and CBOs are the predominant OVC service Children providers 1,072,974 (53%)  The CSOs have weak M&E systems and capacity  CSOs have limited funds Management Sciences for Health OVC  low OVC reach and poor 182,000 (17%) quality of services  weak coordination of OVC interventions at national, district and community levelsMSH Building Local Capacity Project 3
  • 4. Methodologies and Strategies (Being) Used (1) Capacity Assessment • Administer capacity assessment tool • Documents and literature review M&E Tools Development • Data collection tools (Registration and Service Provision Forms) • Reporting tools (Monthly and Quarterly templates and reporting guidelines) Management Sciences for Health Training of CSO Staff • 30 individuals from 12 CSOs received formal training on importance of M&E, M&E tools, project indicators, data quality standards, data management, and reporting • Training was done together with Ministry of Social DevelopmentMSH Building Local Capacity Project 4
  • 5. Methodologies and Strategies (Being) Used (2) Accompaniment • Supporting CSOs to train secondary caregivers • Monitoring secondary caregivers as they provide services Coaching Sciences for Health Management • Monthly and quarterly data verification and support visits • Spot checksMSH Building Local Capacity Project 5
  • 6. Evidence of Success and Achievements (1) • Improved data quality - only Cumulative OVC and Caregivers Reached 60000 0,2% records in Dec 2012 53194 were discarded compared to 50000 12% in March 2012 OVC and Caregivers Reached • Overall, 53,194 OVC and 40000 38578 caregivers reached against a 30000 target of 51,700 • By December 2012, 23,5%Management Sciences for Health 20000 16647 (42,739) of OVC in Lesotho reached against a target of 10000 6826 25,5% by September 2013 0 186 Oct-12 Apr-12 Jun-12 Dec- Dec- Aug- Feb- 12 12 12 11MSH Building Local Capacity Project 6
  • 7. Evidence of Success and Achievements (2) • CSOs applying Some quotes from CSOs „‟Well I believe it has brought about the importance of M&E within the acquired M&E skills organisation. Initial projects did not put much emphasis on it hence why there wasnt an M&E person . The emerging need and constant and knowledge emphasis of M&E also contributed to quality service provision.” • Improved quality of “Through the BLC project, my organization now has improved capacity to carry out quality monitoring and evaluation activities, not only within the BLC project, but now also within other in-house projects.” services • Improved data flow • Reduced duplication Management Sciences for Health of servicesMSH Building Local Capacity Project 7
  • 8. Challenges and Solutions • National CSOs and CBOs have few full-time staff; the majority are volunteers  As a solution, BLC together with partner CSOs developed simple data collection tools in local language  BLC provided long-term coaching support to CSO staff responsible for M&E activities Management Sciences for HealthMSH Building Local Capacity Project 8
  • 9. Lessons Learned • Prioritize institutional capacity building before service provision • With adequate M&E capacity CSOs can reach more OVC with quality services • Coaching and accompaniment are effective capacity Management Sciences for Health building approaches • Equal partnership with CSOs promotes ownership and mutual trustMSH Building Local Capacity Project 9
  • 10. Conclusions Strengthening of monitoring and evaluation systems significantly contributes to increased quality of services and number of beneficiaries reached Management Sciences for HealthMSH Building Local Capacity Project 10
  • 11. Questions & Comments Management Sciences for HealthMSH Building Local Capacity Project 11